DEPARTMENT OF INSURANCE

Name	Lee, Sammy Keith	DOIID	382501	NAIC NPN	7205685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	12/5/2006		7/31/2026
Active	Resident	Agent	Life	12/5/2006		7/31/2026
Active	Resident	Agent	Health	12/5/2006		7/31/2026
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	11/20/1997	12/4/1997

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/21/2024	05/21/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	208 Pauline Drive, Suite D Berea, KY 40403
Mailing	Po Box 840 Berea, KY 40403
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 986-3756